Nursing of dengue fever pediatric patients with shock : case study
Keywords:
Nursing, Pediatric patients, Dengue fever, ShockAbstract
Dengue fever is a public health problem. Because it is a disease that spreads quickly, symptoms change quickly and severely and it cause shock. If not monitored, it will cause severe shock. This is difficult to maintain, and if left for a long time, complications such as liver failure, kidney failure, severe bleeding, and even death.
A 5-year-old boy patient came to check at the outpatient department of pediatrics. King Narai Maharaj Hospital, February 19, 2020 with fever, cough, clear mucus 3 days before coming to the hospital. The patient was diagnosed with dengue fever with shock. Nursing patients were divided into 3 phases, phase 1, pre-examination nursing. The patient had signs and symptoms of a high fever (39.3 °C). Nurses assessed symptoms, measure vital signs, wipe themselves with antipyretic medication watching for seizures from high fever patient classification according to standard and prepare the medical record coordinate with doctors to bring patients to be quickly checkup. Phase 2, Nursing during examination, Doctors diagnosed with suspected dengue fever. Patient was blood
drawn for laboratory testing and tourniquet test, positive results (14 points / square inch) while waiting for the blood vital signs change (pulse pressure < 20 mmHg). Nurse reported the doctor immediately and take the pediatric patients to the emergency room for care. The patient was received fluid therapy and admitted in the hospital. Phase 3 Post-examination nursing, nurse monitored the changes in symptoms and closely assessed the symptoms, contacted and coordinated to get the patient to sleep for medical treatment and delivered the pediatric patient to the pediatric ward until safely.
The critical role of ambulatory nurses must have knowledge and expertise and have skills in patient classification assessment, including close surveillance that can provide rapid nursing care at all times and efficient for reducing the incidence of complications of the patient.
